[SCD-FORUM] 50E Questions to Dr. Fontaine and Dr. Hammill. Dr. Brembilla Perrot

[SCD Symposium]

Dear Dr Dubner and Dr Schapachnik

I have also questions to some authors as Dr Fontaine and Dr Hammill
Some things seem very simple: tachycardia or syncope is of benign  
prognosis if there is no underlying heart disease. The significance  
completely changes in association with heart disease.
However with the development of magnetic resonance imaging (MRI) or  
similar techniques, many of patients have signs of heart disease not  
visible at echocardiography as myocardial scar in VT, signs of ARVD  
in right outflow tract tachycardia, signs of beginning DCM..... A  
benign VT becomes a tachycardia with a risk of SD??

Is RMI necessary in all patients with VT or syncope and with  
apparently normal echocardiography?
Does abnormal RMI in asymptomatic patient with only VPB's need others  
investigations, preventive beta-blocker therapy or more??

To my opinion, the cardiology becomes more and more difficult. We  
have learned many important data in cardiology through small studies  
of one or several authors; now we learn some data after very large  
multicentric studies engaged by big companies with the very well  
known problem of the criteria of exclusion and inclusion. Where is my  
patient?

Pardon my difficulties in the real life and thank you for your  
recommendation.

Béatrice Brembilla-Perrot

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee




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